Research Topics
| J A EdlowSummaryAffiliation: Harvard University Country: USA Publications
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Publications
Tick-borne diseases, part I: Lyme disease. PrefaceJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02115, USA
Infect Dis Clin North Am 22:xi-xiv. 2008- Atypical presentations of acute cerebrovascular syndromesJonathan A Edlow
Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Lancet Neurol 10:550-60. 2011..Finally, clinicians should be aware that even with the most sophisticated neuroimaging tests, stroke might be missed in the early hours after the event... - Diagnosis of subarachnoid hemorrhageJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
Neurocrit Care 2:99-109. 2005..Other diagnostic issues are also discussed, such as use of magnetic resonance scanning and angiography for diagnosis, distinguishing the traumatic LP from true SAH, the concept of warning bleeds, and the LP-first diagnostic strategy... - Intracerebral haemorrhage - initial actions are criticalJ A Edlow
Harvard Medical School, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Intern Emerg Med 2:36-7. 2007 - Preface: tick-borne diseases, part IIJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, CC-2, One Deaconess Place, Boston, MA 02115, USA
Infect Dis Clin North Am 22:xiii-xv. 2008 - Diagnosis and initial management of cerebellar infarctionJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, MA 02215, USA
Lancet Neurol 7:951-64. 2008..Here, we review the clinical presentation of cerebellar infarction, from diagnosis and misdiagnosis to patients' monitoring, treatment, and potential complications... - Tick paralysisJonathan A Edlow
Beth Israel Deaconess Medical Center, West Clinical Center 2, One Deaconess Road, West Campus CC 2, Boston, MA 02215, USA
Infect Dis Clin North Am 22:397-413, vii. 2008..Lastly, in an era of antibiotic toxicity, multidrug-resistant bacteria, antigen-switching viruses, and complex antibiotic regimens, the cure for tick paralysis-removing the tick-is as simple as it is gratifying... - Tick paralysisJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, 02115, USA
Curr Treat Options Neurol 12:167-77. 2010..Finally, prevention of tick paralysis, as with most tick-borne diseases, involves changing behavior to avoid tick exposure and performing frequent tick checks to remove them if they have already attached... - Aneurysmal subarachnoid hemorrhage: update for emergency physiciansJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
J Emerg Med 34:237-51. 2008..Emergency physicians must be expert in the diagnosis and initial stabilization of patients with SAH. Treatment in a hospital with both neurosurgical and endovascular capability is becoming the norm... - Emergency department management of pulmonary embolismJ A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
Emerg Med Clin North Am 19:995-1011. 2001.... - Post-partum pituitary apoplexy: a case reportH L Schrupp Berg
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, 1 Deaconess Road, Boston, MA, 02215, USA
Intern Emerg Med 2:311-4. 2007 - Pitfalls in the diagnosis of cerebellar infarctionSean I Savitz
Departments of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
Acad Emerg Med 14:63-8. 2007..Cerebellar infarctions are an important cause of neurologic disease. Failure to recognize and rapidly diagnose cerebellar infarction may lead to serious morbidity and mortality due to hydrocephalus and brain stem infarction... - Cerebrospinal fluid xanthochromia in newborns is related to maternal labor before deliveryLise E Nigrovic
Division of Emergency Medicine, Children s Hospital Boston, 300 Longwood Ave, Boston, MA 02115, USA
Pediatrics 120:e1212-6. 2007..The purpose of this work was to investigate whether xanthochromia in newborns is related to maternal labor before delivery... - How sensitive is the synovial fluid white blood cell count in diagnosing septic arthritis?Daniel C McGillicuddy
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
Am J Emerg Med 25:749-52. 2007..How accurate is the standard synovial fluid white blood cell (WBC) cutoff of 50,000 WBC/mm3 to rule out septic arthritis?.. - Guillain-Barré syndrome in the emergency departmentDaniel C McGillicuddy
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
Ann Emerg Med 47:390-3. 2006 - The Tuscan Emergency Medicine InitiativeKevin M Ban
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
Ann Emerg Med 50:726-32. 2007..We describe that effort and process, with an expectation of more than 625 physicians completing the program by June 2008... - Emergency department presentations of transverse myelitis: two case reportsHeather S Hammerstedt
Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Ann Emerg Med 46:256-9. 2005..In this article, we recount 2 cases of transverse myelitis to demonstrate its presentation, diagnosis, and management in the ED... - Barriers to the use of outpatient enoxaparin therapy in patients with deep venous thrombosisNathan I Shapiro
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Am J Emerg Med 23:30-4. 2005..To establish a clinical pathway for outpatient enoxaparin therapy in deep venous thrombosis (DVT) and then characterize its implementation and barriers to use... - Diagnosis of subarachnoid hemorrhage in the emergency departmentJonathan A Edlow
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, 1 Deaconess Road CC 205, Boston, MA 02215, USA
Emerg Med Clin North Am 21:73-87. 2003..In addition, the CSF should be carefully analyzed, including measuring the opening pressure. In patients whose CT scans and CSF analyses are normal, further testing is rarely indicated... - Distinguishing traumatic lumbar puncture from true subarachnoid hemorrhageKaushal H Shah
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA
J Emerg Med 23:67-74. 2002..A few of the most essential methods for distinguishing traumatic LP from true SAH include: the "three tube test," opening pressure, and inspection for visual xanthochromia... - Erythema migransJonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Med Clin North Am 86:239-60. 2002..Clinicians should be aware that 15% of patients may be coinfected with a second tick-borne pathogen, which could alter the usual clinical manifestations and the response to treatment... - XanthochromiaJonathan A Edlow
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Arch Pathol Lab Med 126:413-5. 2002..This recommendation is based on measuring xanthochromia by spectrophotometry. Our hypothesis was that very few hospital laboratories in the United States use this method... - Complete heart block complicating the head impulse testEdward Ullman
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02115, USA
Arch Neurol 67:1272-4. 2010..Distinguishing between these two causes is critical because the treatments differ completely. One bedside test to help make this distinction clinically is the head impulse test (HIT), sometimes called the head thrust test... - Does this patient have erythema migrans?Carrie D Tibbles
Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Harvard Medical School, West Clinical Center 2, One Deaconess Road, Boston, MA 02215, USA
JAMA 297:2617-27. 2007..Erythema migrans, while not pathognomonic, is the most common manifestation of early Lyme disease. Accurate diagnosis of this rash is essential to initiating appropriate antibiotic therapy... - National study on emergency department visits for transient ischemic attack, 1992-2001Jonathan A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Acad Emerg Med 13:666-72. 2006..Neuroimaging increased significantly. These findings may reflect the limited evidence base for the guidelines, educational deficits, or other barriers to guideline implementation... - Lyme disease and related tick-borne illnessesJ A Edlow
Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Ann Emerg Med 33:680-93. 1999..Unrecognized and untreated Lyme disease can cause late arthritic and neurologic syndromes that are more difficult to treat and that may not respond to antibiotics. Other tick-borne illnesses can be fatal if not treated... - Ultrasound diagnosis of deep venous thrombosisJason A Tracy
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Affiliated Emergency Medicine Residency, Harvard Medical School, West Clinical Center 2, One Deaconess Road, Boston, MA 02215, USA
Emerg Med Clin North Am 22:775-96, x. 2004..The technique and findings of the limited lower extremity ultrasound and the data to support its use in the emergency department are discussed... - Transient ischemic attack: review for the emergency physicianKaushal H Shah
Department of Emergency Medicine, St. Luke's-Roosevelt Hospital, New York, NY, USA
Ann Emerg Med 43:592-604. 2004..transient ischemic attack? (3) Once diagnosed, what diagnostic evaluation should be done (and when)? (4) What treatment should be instituted (and when)? (5) What is the correct disposition? and (6) What are the current medical guidelines?.. - Utility of lumbar puncture in the afebrile vs. febrile elderly patient with altered mental status: a pilot studyKaushal Shah
Department of Emergency Medicine, St Luke s Roosevelt Hospital, New York, New York 10025, USA
J Emerg Med 32:15-8. 2007..We would advocate not relying solely on the presence or absence of fever to determine management in the elderly... - Does the presence of crystal arthritis rule out septic arthritis?Kaushal Shah
Department of Emergency Medicine, St Luke s Roosevelt Hospital, New York, New York 10025, USA
J Emerg Med 32:23-6. 2007..Septic arthritis and acute crystal-induced arthritis can occur simultaneously; there were 4 cases (1.5%) of concomitant disease in our study population. The presence of crystals cannot exclude septic arthritis with certainty... - Incidence of traumatic lumbar punctureKaushal H Shah
Beth Israel Deaconess Medical Center, Harvard Affiliated Emergency Medicine Residency, Harvard Medical School, Boston, MA 02215, USA
Acad Emerg Med 10:151-4. 2003..In this study, the rate of traumatic lumbar puncture was significantly less (with a cutoff of 400 RBCs) and the rate of champagne tap was significantly greater for LPs done in the ED compared with the rest of the hospital... - Rectus sheath hematomaJ A Edlow
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA
Ann Emerg Med 34:671-5. 1999..Prompt consideration of this uncommon cause of abdominal pain may prevent more expensive and invasive diagnostic tests and, in some cases, unnecessary hospitalization and laparotomy... - Headache in United States emergency departments: demographics, work-up and frequency of pathological diagnosesJ N Goldstein
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA
Cephalalgia 26:684-90. 2006..3, CI 1.2, 9.3). In conclusion, clinicians should ensure that appropriate work-ups are performed regardless of presentation time or insurance status, and be vigilant in the evaluation of older patients... - Short-term prognosis of stroke among patients diagnosed in the emergency department with a transient ischemic attackKaushal H Shah
Department of Emergency Medicine, St Luke s Roosevelt Hospital, New York, NY 10025, USA
Ann Emerg Med 51:316-23. 2008..We perform an evidence-based emergency medicine shortcut review of the short-term outcome of stroke among patients diagnosed in the ED with a transient ischemic attack... - Myasthenia gravis: lessons for the emergency physicianPeter B Smulowitz
Department of Emergency Medicine, Beth Israel-Deaconess Medical Center, Boston, Massachusetts, USA
Eur J Emerg Med 12:324-6. 2005.... - Evaluation of third nerve palsy in the emergency departmentMichael M Woodruff
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
J Emerg Med 35:239-46. 2008..In this article, we review the existing literature on the pathophysiology, diagnosis, and management of third nerve palsy presenting to the Emergency Department... - Predicting difficult and traumatic lumbar puncturesKaushal H Shah
Department of Emergency Medicine, University Hospital of Columbia College of Physicians and Surgeons, St Luke s Roosevelt Hospital, New York, NY 10025, USA
Am J Emerg Med 25:608-11. 2007..The objective of this study is to determine if visual and tactile inspection of the spine is useful in the prediction of a difficult or traumatic lumbar puncture (LP)... - Clinical prediction rules to stratify short-term risk of stroke among patients diagnosed in the emergency department with a transient ischemic attackKaushal H Shah
Department of Emergency Medicine, St Luke s Roosevelt Hospital, New York, NY 10025, USA
Ann Emerg Med 53:662-73. 2009..transient ischemic attack patients assessed in the emergency department have a low enough risk of acute stroke (1% to 2%) to be discharged home and which have a sufficiently high risk so that hospitalization is the safest disposition?.. - Benign exertional headacheJason Imperato
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Affiliated Emergency Medicine Residency, Harvard Medical School, Boston, MA 02215, USA
Ann Emerg Med 41:98-103. 2003..Consideration of this uncommon cause of headache might facilitate an accurate diagnosis of those patients with headache caused by strenuous exercise... - MDCT angiography of acute chest pain: evaluation of ECG-gated and nongated techniquesVassilios D Raptopoulos
Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
AJR Am J Roentgenol 186:S346-56. 2006..CONCLUSION: The chest pain protocol can be used to assess both the pulmonary arteries and the thoracic aorta, whereas the ECG-gating protocol appears to be a promising adjunct for a comprehensive single chest pain protocol... - Angiographic detection of carotid and vertebral arterial injury in the high-energy blunt trauma patientDaniel A Hoit
Department of Neurosurgery, Tufts New England Medical Center, Boston, MA 02111, USA
J Spinal Disord Tech 21:259-66. 2008..We sought to determine the incidence, features, and risk factors of arterial injury using selective cerebral angiography in a high-risk trauma patient subset... - Favorable response to analgesics does not predict a benign etiology of headacheJennifer V Pope
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Headache 48:944-50. 2008..A favorable response to analgesics may be observed with both classes of HAs and therefore is not a good predictor of who needs further evaluation... - Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sampleDavid E Newman-Toker
Department of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Mayo Clin Proc 83:765-75. 2008.... - Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headacheJonathan A Edlow
Ann Emerg Med 52:407-36. 2008.... - Diagnosis of subarachnoid hemorrhage: are we doing better?Jonathan A Edlow
Stroke 38:1129-31. 2007 - Clinical policy: critical issues in the diagnosis and management of the adult psychiatric patient in the emergency departmentThomas W Lukens
Ann Emerg Med 47:79-99. 2006 - What do we really know about neurological misdiagnosis in the emergency department?Jonathan A Edlow
Mayo Clin Proc 83:253-4; author reply 255. 2008 - Overreliance on symptom quality in diagnosing dizziness: results of a multicenter survey of emergency physiciansVictoria A Stanton
The Johns Hopkins Hospital, Pathology Bldg 2 210, 600 N Wolfe St, Baltimore, MD 21287, USA
Mayo Clin Proc 82:1319-28. 2007..To assess emergency physicians' diagnostic approach to the patient with dizziness, using a multicenter quantitative survey...